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CCEMS Drugs > Dosages > Flashcards

Dosages Flashcards

1
Q

Acetaminophen (Tylenol)

A
  • Adult 0.5 – 1 gram PO

* Pediatric 15 mg/kg PO, q 4-6 hours

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2
Q

Adenosine (Adenocard)

A
  • Adenosine should be given as a RAPID bolus IV (over 1-2 seconds). It should be given as proximal as possible and followed by a rapid fluid flush (at least 10 ml).
    • Initial: Adult - 6.0 mg, Pediatric - 0.1 mg/kg
    • Subsequent: Adult - 12.0 mg; may be repeated once more, Pediatric - 0.2 mg/kg
    • Maximum single dose: 12 mg
    • Maximum total dose: 30 mg
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3
Q

Albuterol Sulfate (Proventil)

A

Albuterol is supplied in single unit dose plastic “bullets” of 2.5 mg/3.0 ml and is administered via hand held or face mask nebulizer. Nebulization with albuterol may be continued until respiratory status improves.

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4
Q

Amiodarone HCl (Cordarone)

A

ADULT:
- Loading:
Ventricular Fibrillation 300 mg SLOW IV/IO, may repeat after 5-10 minutes at 150 mg SLOW IV/IO
Ventricular Ectopy 150 mg SLOW IV/IO infusion 150mg/100 NS over 10 minutes
Wide Complex Tachycardia 150mg SLOW IV/IO infusion 150mg/100 NS over 10 minutes
- Repeat:
Ventricular Fibrillation 150 mg SLOW IV/IO
- Maintenance: 15mg/min Infusion (150 mg / 100 ml NaCl)
- Maximum: 600mg (300/150/150 or 150mg x4)

PEDIATRIC:

  • Ventricular Fibrillation 5 mg/kg (max 300mg) SLOW IV/IO, repeat at 5 mg/kg with a maximum dose of 150 mg. Total dose should not exceed 25 mg/kg or 2.2 g in 24 hours.
  • Narrow / Wide Complex Tachyardia 5mg/kg in 100cc over 10-20 minutes IV/IO (max 150 mg), may repeat x3 to a max dose of 20mg/kg or 600 mg IV/IO
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5
Q

Anti-Diuretic Hormone (ADH) (Vasopressin)

A

40 U IV – Do not repeat

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6
Q

Aspirin

A

325mg - (4) 81 mg chewable tablets PO (baby aspirin)

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7
Q

Atropine Sulfate

A

ADULT
• Atropine may be given IV/IM/IO
• Bradycardia/AVB: 0.5 mg IV q 5 min. until desired heart rate is achieved to a Max: 3 mg
• Organophosphate poisoning ( S/S - nausea, diaphoresis, epigastric & substernal tightness, abdominal cramps, profuse salivation, dyspnea, muscle twitching, weakness, paralysis, seizure-like activity ): 2.0 mg IM and/or 1.0 mg IV prn to maintain heart rate > 100/min. and/or clear lung sounds.

PEDIATRIC
• 0.02 mg/kg
o Dosing other than organophosphate poisoning:
• Minimum single dose both child & adolescent: 0.1 mg
• Max single dose - child: 0.5 mg
• Max single dose - adolescent: 1.0 mg
• Max total dose - child: 1.0 mg
• Max total dose - adolescent: 2.0 mg

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8
Q

Calcium Chloride

A
  • Adult: 0.5 - 1 gram SLOW IV/IO

* Pediatric: 20mg/kg (0.2ml/kg) SLOW IV/IO. May repeat in 10 minutes

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9
Q

50% Dextrose

A

It is important that a blood glucose level be obtained prior to the administration of D50 and that patent IV access has been established. Recheck a blood glucose level 10 minutes after administration.

  • Adult: 25 grams IV (50 ml of D50) (may also be given IO if needed)
  • Children: 0.5 grams/kg; (dilute to 25% Dextrose for infants < 1 year old)
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10
Q

Diazepam (Valium)

A

The dosage should be individualized for maximum beneficial effect and given SLOW IV.
• The usual total dosage for older children and adults ranges from 2-20 mg depending on the indication and its severity.
• Total dosages up to 40 mg may be necessary for control of seizure activity
• Lower doses (2-5 mg) and slow increase in dosage should be used for elderly or debilitated patients and when other sedative drugs are administered.
• Pediatric: in order to obtain maximal clinical effect with the minimum amount of medication, the drug should be given slowly in a dosage not to exceed 0.25 mg/kg

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11
Q

Diltiazem (Cardizem)

A

20-25 mg (0.25 mg/kg) SLOW IVP

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12
Q

Diphenhydramine (Benadryl)

A
  • Adults: 50 mg IV or deep IM or 25 mg IV / 25 mg deep IM

* Pediatric: 1-2 mg/kg, not to exceed 50 mg in a single dose IV or deep IM

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13
Q

Dopamine HCL (Intropin)

A
  • May be given by titrated, IV infusion using a microdrip set. If pre-mix unavailable, add 200 mg of dopamine to 250 ml of D5W yielding a concentration of 800 μg/ml.
  • Administer 5 μg/kg/min., titrating the infusion to effect on level of consciousness and B/P
  • Place IV cannula in a large, proximal vein, if possible — ensure patency
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14
Q

Epinephrine HCL (Adrenaline)

A

• Cardiac Arrest:
Adult: Standard: 1-5 mg IV/IO
Pediatric: Initial: 0.01-0.03 mg/kg IV/IO
Subsequent: 0.01-0.03 mg/kg IV/IO
• Anaphylaxis:
Adult: 0.3-0.5 mg SQ (1:1000)
0.3-0.5 mg IV/IO (1:10,000)
Pediatric: 0.01 mg/kg SQ (1:1,000)
0.01 mg/kg IV/IO (1:10,000)
• Infusion(1:1 mix):
Adult: 1 mg in 100 ml NaCl, titrate to maintain b/p
Pediatric: 0.1-1 mcg/kg/min titrate to maintain b/p
• Bradycardia Infusion:
Adult: 1 mg in 100 ml NaCl, titrate to maintain b/p
Pediatric: 0.1-0.2 mcg/kg/min titrate to maintain b/p

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15
Q

Etomidate (Amidate)

A

0.3 mg/kg IV/IO

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16
Q

Fentanyl Citrate (Sublimaze)

A
  • Adult - 0.5 – 1 mcg/kg slow IV/IN repeat PRN up to a maximum total dose of 3 mcg/kg
  • Pediatric - 0.5 mcg/kg slow IV/IN repeat PRN at 0.25 mcg/kg up to a maximum total dose of 1 mcg/kg or 100 mcg
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17
Q

Fursoemide (Lasix)

A
  • Adults: 0.5-1 mg/kg IV over 2 minutes – maximum 120mg IV

* Pediatric: 0.5-1 mg/kg IV over 2 minutes

18
Q

Glucagon (Glucagen)

A
  • Hypoglycemia
    • Adult: 1 – 2 mg IM
    • Pediatric: 0.3 mg/kg IM
  • Beta-Blocker Overdose
    • Adult: 2 mg IV
    • Pediatric: 0.3 mg/kg IV, 2 mg maximum
19
Q

Heparin

A
  • STEMI / Cath Lab Alert Procedure (5000 units/ml)
    • 5000 units IV
  • Implanted Central Catheter Flush
    • 500 units IV through central catheter
20
Q

Hydromorphone (Dilaudid)

A
  • 0.5 - 1.0 mg Slow IV or IM prn with max single dose of 1mg and max total dose of 2mg
  • To be utilized only on patients 12 years and older
21
Q

Ibuprofen (Motrin)

A

10 mg/kg PO of a concentration of 100mg/5ml, q 6-8 hours

22
Q

Ipratropium (Atrovent)

A

500 μg / 3 ml administered concurrently with Albuterol Sulfate as a “combination” treatment

23
Q

Ketamine (Ketalar)

A

5 mg/kg IM or 1-1.5 mg/kg IV

24
Q

Ketorolac (Toradol)

A 
ADULT
     • 15-30 mg IV
     • 30-60 mg IM
PEDIATRIC (use only in children > 10 y/o)
     • 10-15 mg IV or IM
25
Q

Lidocaine HCL (Xylocaine, Lidocaine Jelly)

A
  • Adult Dosage
    • Initial Bolus: 1.0-1.5 mg/kg IV/IO
    • Subsequent Bolus: 0.5-0.75 mg/kg IV/IO, MAX: 3 mg/kg
    • Adult Infusion: 2.0-4.0 mg/min.
  • Pediatric Infusion: 20-50 mcg/kg/min IV infusion upon termination of dysrhythmia
  • Topical: 2% Jelly in 5 ml plastic tubes, max of 2 for adult usage, 1 for pediatric usage.
26
Q

Magnesium Sulfate

A
  • Cardiac: 1.0-2.0 grams IV/IO
  • Obstetric: 2.0-4.0 grams SLOW IV/IO
  • Pediatric: 25-50mg/kg IV/IO: max 2g for refractory state and/or for torsades-de-pointes, may repeat
27
Q

Methylprednisolone (Solu-Medrol)

A
  • Adult: 125 mg SLOW IV or IM

* Pediatric: 2.0 mg/kg SLOW IV or IM

28
Q

Metoprolol (Lopressor)

A
  • Hypertensive Crisis
    • 5 mg Slow IV, over 1 to 2 minutes (may repeat once in 10 to 15 minutes if BP remains > 180 mm/Hg systolic and/or 110 mm/Hg diastolic)
  • Cath Alert (hypertensive patients only)
    • 5 mg slow IV, may repeat x1 in 10 minutes, if not contraindicated
29
Q

Midazolam (Versed)

A
  • Adult Dosage
    • 1-2 mg increments IV/IM/IN, titrated to desired sedation, up to max total of 0.1 mg/kg or SBP < 100 mmHgb
  • Pediatric Dosage
    • 0.05-0.1 mg/kg IV/IM/IN/IO q 5 min prn

• Excited Delirium- 5mg IM/IN may repeat x1

30
Q

Morphine Sulfate

A
  • Adult: 2.0-5.0 mg Slow IV or IM prn, do not exceed 15 mg TOTAL
  • Pediatric: 0.05-0.1 mg/kg Slow IV or IM, may repeat prn at HALF the initial dose
31
Q

Naloxone (Narcan)

A
  • Adult: 0.4-2 mg IV/IM/IN/SQ, prn titrated to an improvement in respiratory status
  • Pediatric: 0.1 mg/kg IV/IM/IN/SQ, prn titrated to an improvement in respiratory status
32
Q

Nitroglycerin (Nitostat, Nitrolingual Spray)

A

0.4 mg SL metered-dose spray q 5 min prn up to 5 administrations

33
Q

Ondansetron HCL (Zofran)

A
  • ADULTS
    • 4mg to 8mg ODT, may repeat X 1 (max total dose 16mg)
  • PEDIATRIC
    • 0.15 mg/kg (start with 2mg) may repeat PRN (max total dose 8mg)-DO NOT GIVE TO CHILDREN LESS THAN 4 YEARS OF AGE
34
Q

Oxytocin (Pitocin)

A

20 units IV INFUSION

35
Q

Promethazime (Phenergan)

A
  • ADULTS
    • 12.5 mg SLOW IV, may repeat ONCE, if needed
    • 25 mg Deep IM, x1
  • PEDIATRIC
    • 0.25 mg/kg IV, x1
    • 0.5 mg/kg Deep IM, x1
36
Q

Rocuronium (Zemuron)

A

1 mg/kg IV post intubation for continued paralysis, may repeat prn within 20-40 minutes at 1mg/kg

37
Q

Sodium Bicarbonate

A

Adult & Pediatric Cardiac Arrest
• Initial: 1 mEq/kg IV of an 8.4% solution
• Subsequent: 0.5 mEq/kg IV of an 8.4% solution

Infant Cardiac Arrest
• ( < 1 y/o) dosage is the same but of a 4.2% solution

Adult & Pediatric Tricyclic Antidepressant Overdose
• Initial: 1-2mEq/kg SLOW IV
• Infusion: 50mEq in 1000ml NaCl

Excited Delirium
• 50 mEq in 1000ml cool-cold (60°F) NaCl, run wide open

38
Q

Succinylcholine Chloride (Anectine)

A
  • Adult: 1.0- 1.5 mg/kg IV/IO or 1.5 – 2.0 mg/kg IM

* Pediatric: 2.0 mg/kg IV/IM/IO

39
Q

Tetracaine Ophthalmic Solution

A

1-2 drops prn in injured eye(s)

40
Q

Thiamine

A

100 mg IV/IM/IO prior to administering D50

41
Q

Vecuronium (Norcuron)

A

0.05-0.1 mg/kg IV post intubation for continued paralysis

CCEMS Drugs (3 decks)

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